Organization
LYNN H SOMMERVILLE MD PHD
Active
Organization
LYNN H SOMMERVILLE MD PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN HOLLEY SOMMERVILLE MD (PHYSICIAN OWNER)
(401) 331-8338
Entity
Organization
Contact information
Practice address
100 HIGHLAND AVE, #302, PROVIDENCE, RI 02906
(401) 331-8338
(401) 331-0573
Mailing address
100 HIGHLAND AVE, #302, PROVIDENCE, RI 02906
(401) 331-8338
(401) 331-0573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD06858
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400917
UNITED HEALTH CARE
RI
01
—
204125
BLUE CROSS BLUE SHIELD RI
RI
05
—
9020412
—
RI
Enumeration date
01/17/2007
Last updated
08/22/2020
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